First Name*
Last Name*
Email*
Phone*
Address 1*
Address 2
City*
Zip code*
Are you a citizen of U.S. or authorized to work in the U.S.?* YesNo
Have you worked under any other name? If so, please list.
Have you ever been convicted of a felony or misdemeanor within the last 5 years? (This will not necessarily affect your application.)* YesNo
Which of the following age categories do you fall under?
15 & under1617-2021 & older

Educational History

High School Name
Years Attended
College Name
Years Attended
List any clubs, extracurricular activities, or other achievements relevant to this position.

Employment Record

Name your last three employers beginning with the most recent.

 

Work Experience 1

Company
Address
Job Title
Duties
Supervisor
Pay rate
Dates worked
Reason for leaving

Work Experience 2

Company
Address
Job Title
Duties
Supervisor
Pay rate
Dates worked
Reason for leaving

Work Experience 3

Company
Address
Job Title
Duties
Supervisor
Pay rate
Dates worked
Reason for leaving
In addition to your work history, are there any other skills, qualifications, or experiences that we should consider?
What positions are you interested in?*
Desired hours worked per week?
What is your desired pay?
Why would you like to work at LLT?*
What skills do you feel you would bring to LLT if you were to be hired?*
Is there anything else you would like us to know when reviewing your application?*